Active NPI
William Kenneth Halliday, M.D.
- Cardiovascular Disease Physician
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A23526
- Practice address
- 2444 W Beverly Blvd
Montebello, CA 90640-2306 - Phone
- (323) 201-4130
- Fax
- (323) 201-4134
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A23526 | CA | Primary |
Addresses
Primary practice location
2444 W Beverly Blvd
Montebello, CA 90640-2306
Mailing address
12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone (562) 977-4674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060508000705 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 4587675368 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Albion Medical Partners of California West P C
Practice addresses (Care Compare)
12900 Park Plaza Dr
Suite 700
Cerritos, CA 90703-9329
Phone (562) 622-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A23526 | CA | MD | Cardiovascular Disease Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Cardiac Imaging Corporation | Current | Accepting new patients | |
| Albion Medical Partners of California West P C | Current | Accepting new patients | |
| Caremore Medical Group Inc | Cardiovascular Disease | Past | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
12632 Bellflower Blvd
Downey, CA 90242
Phone (562) 400-0189
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- william.halliday.1@32527.direct.athenahealth.com
- william.halliday.p1@direct.caremorewest.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Cerritos, CA
- NPI 1073110607
CA
-
- Radiology Clinic/Center
- Downey, CA
- NPI 1013961630
-
- Family Medicine Physician
- Cerritos, CA
- NPI 1760435705
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1013021708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 PARK PLAZA DR STE 150",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039329",
"telephone_number": "562-977-4674",
"fax_number": "562-741-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2444 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402306",
"telephone_number": "323-201-4130",
"fax_number": "323-201-4134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIDAY",
"first_name": "WILLIAM",
"middle_name": "KENNETH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A23526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.